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Individual
JESSICA NICOLE TOWNS
Active
Individual
JESSICA NICOLE TOWNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10890
MN
363A00000X
Physician Assistant
1517
MN
363A00000X
Physician Assistant
Primary
54287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
12/05/2010
Last updated
09/04/2018
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