| NPI | 1841613908 |
|---|---|
| Former Name | JESSICA A HEATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04789) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3918) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2024-10-01 |