Individual
MRS. JENNIFER ELIZABETH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27 ST LAWRENCE DR, SUITE 204, TIFFIN, OH 44883-8312
(419) 455-8570
(419) 455-8579
Mailing address
27 ST LAWRENCE DR, SUITE 204, TIFFIN, OH 44883-8312
(419) 455-8570
(419) 455-8579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003229RX
OH
363AM0700X
Medical Physician Assistant
Primary
50.003229RX
OH
363AS0400X
Surgical Physician Assistant
50.003229RX
OH
Other
Enumeration date
03/30/2011
Last updated
05/01/2017
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