| NPI | 1942581558 |
|---|---|
| Former Name | JESSICA LINDSAY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2597) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA054783) |
| 363A00000X Physician Assistant (Licence: OH 50.004225) | |
| 363A00000X Physician Assistant (Licence: CA PA66333) | |
| 363A00000X Physician Assistant (Licence: UT 13578808-1206) | |
| 363A00000X Physician Assistant (Licence: VA 0110009664) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2025-04-28 |