| NPI | 1093422636 |
|---|---|
| Former Name | JESSICA LANEICE JEFFERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 236190) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AK 117979) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-04-05 |