Individual
MISS JENNA MARIE AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1006 TREETOPS BLVD, SUITE 101, FLOWOOD, MS 39232-7645
(601) 939-0005
(601) 936-4949
Mailing address
1006 TREETOPS BLVD, SUITE 101, FLOWOOD, MS 39232-7645
(601) 939-0005
(601) 936-4949
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00303
MS
Other
Enumeration date
10/12/2016
Last updated
02/10/2021
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