Individual provider · Type 1 NPI
Jennie Louisa Queen, PA-C
Medical Physician Assistant · Middletown, DE
NPI number
1154574986
Active
Practice location
106 S Broad St
Middletown, DE 19709-1439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C5-439 (DE) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Middletown
About NPI 1154574986
Jennie Louisa Queen, PA-C's National Provider Identifier is 1154574986, issued on Oct 24, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, DE. The record was last updated on Oct 24, 2008.