NPI | 1063138949 |
---|---|
Former Name | JESSICA N MAYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016011887) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2016011887) |
Enumeration Date | 2022-10-13 |
Last Update Date | 2022-10-13 |