| NPI | 1982103784 |
|---|---|
| Former Name | JENNIFER MICHELLE SHIPLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2018006453) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-01-28 |