NPI | 1083098628 |
---|---|
Former Name | JESSICA LYNN BOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CNP.020276) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3009557) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2024-10-04 |