| NPI | 1851945554 |
|---|---|
| Former Name | SHELBIE JAMISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060710) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA66222) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2025-08-28 |