Individual
JENNIFER REBECCA LINCOLN
Active
Individual
JENNIFER REBECCA LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00458600
NJ
363AM0700X
Medical Physician Assistant
5051
AZ
363AM0700X
Medical Physician Assistant
PA21920
CA
Other
Enumeration date
02/24/2012
Last updated
01/23/2018
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