Individual
ALISHA MARIE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 E 82ND AVE STE 204, ANCHORAGE, AK 99518-3159
(907) 865-8455
(913) 246-4901
Mailing address
615 E 82ND AVE STE 204, ANCHORAGE, AK 99518-3159
(907) 865-8455
(913) 246-4901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
186268
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2020
Last updated
03/29/2022
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