Individual
JENNIFER R ALMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 E BROADWAY AVE STE 229, JACKSON, WY 83001
(307) 739-7665
(307) 739-4940
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7665
(307) 739-4940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA619
WY
363AS0400X
Surgical Physician Assistant
PA619
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138929700
—
WY
Enumeration date
10/23/2012
Last updated
01/21/2021
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