Individual
JILL TAMSEN MCLEOD
Active
Individual
JILL TAMSEN MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
19439
CA
363AS0400X
Surgical Physician Assistant
Primary
19439
CA
363LF0000X
Family Nurse Practitioner
17692
CA
Other
Enumeration date
09/11/2007
Last updated
04/10/2025
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