Individual
MARIA JESSICA PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601004595
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N94150010
MEDICARE PTAN
MI
Enumeration date
06/05/2006
Last updated
04/09/2015
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