NPI | 1023391158 |
---|---|
Former Name | JESSICA NEWTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 93172) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11025665) |
363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11025665) | |
363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OK 93172) | |
Enumeration Date | 2011-09-26 |
Last Update Date | 2023-09-27 |