| NPI | 1053869917 |
|---|---|
| Former Name | JESSICA L PEARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992735-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0195825) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0992735-NP) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2019-10-14 |