Individual
JETT ELENA MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3838 N 1ST AVE STE D, EVANSVILLE, IN 47710-3326
(812) 425-0300
Mailing address
3838 N 1ST AVE STE D, EVANSVILLE, IN 47710-3326
(812) 402-8808
(812) 402-8862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004439A
IN
363A00000X
Physician Assistant
2020025676
MO
Other
Enumeration date
06/02/2020
Last updated
11/12/2024
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