| NPI | 1003514662 |
|---|---|
| Former Name | JESSICA L ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041461646) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-03-08 |