| NPI | 1033562558 |
|---|---|
| Former Name | JESSICA L CHRISTOPHERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002581) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10005502) |
| 363L00000X Nurse Practitioner (Licence: IL 209-014448) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2025-07-03 |