| NPI | 1003595141 |
|---|---|
| Former Name | JESSICA LANGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2378772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2378772) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-11-06 |