NPI | 1114937224 |
---|---|
Former Name | JESSICA LEIGH PITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5001453) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NC RN188186) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2020-07-27 |