| NPI | 1124558192 |
|---|---|
| Former Name | JESSICA ALDRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022913) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP134115) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2021-02-09 |