NPI | 1134640733 |
---|---|
Former Name | JESSICA LYNN NORMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024175033) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175033) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2024-05-26 |