| NPI | 1982916094 |
|---|---|
| Former Name | JESSICA ROLLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA1845) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1845) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2017-09-11 |