| NPI | 1043554041 |
|---|---|
| Former Name | JESSICA LYNN TUZZOLINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337407) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337407-1) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2016-01-28 |