| NPI | 1073980611 |
|---|---|
| Professional Name | JESSICA LYNN LATHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2015028258) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: IL 060472784) |
| 163WE0003X Registered Nurse, Emergency (Licence: MO 2010040204) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2022-07-21 |