| NPI | 1992956742 |
|---|---|
| Former Name | JESSICA LYONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2118) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111684) |
| 363A00000X Physician Assistant (Licence: TX PA05993) | |
| 363A00000X Physician Assistant (Licence: CO PA0005661) | |
| 363A00000X Physician Assistant (Licence: AL pa1420) | |
| 363A00000X Physician Assistant (Licence: AZ 7351) | |
| 363A00000X Physician Assistant (Licence: CA 55971) | |
| 363A00000X Physician Assistant (Licence: NY 012732-1) | |
| 363A00000X Physician Assistant (Licence: FL PA 9104865) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2019-06-04 |