NPI | 1124782719 |
---|---|
Former Name | JESSICA MCLARRIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 220526) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R86342) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2024-04-12 |