| NPI | 1124329206 |
|---|---|
| Former Name | JAYCIE N ROOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209008461) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209008461) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209008461) | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2025-02-25 |