| NPI | 1134640733 |
|---|---|
| Former Name | JESSICA LYNN NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175033) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2025-02-03 |