Individual
MRS. JENNIFER LYNN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4811
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.006534RX
OH
363A00000X
Physician Assistant
Primary
5601005260
MI
Other
Enumeration date
05/30/2008
Last updated
10/28/2020
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