| NPI | 1104587856 |
|---|---|
| Former Name | JESSICA LEIGH LIVELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1154588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1154588) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-07-23 |