Ashley L Jack, PA-C Valid NPI

Individual provider · Physician Assistant · Centerville, GA

NPI

1134493620

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

Sex

Female

Sole proprietor

Yes

Enumerated

2012-02-29

Last updated

2015-05-12