| NPI | 1952052466 |
|---|---|
| Former Name | JESSICA NICOLE YELLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12227) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2024-05-08 |