| NPI | 1144522996 |
|---|---|
| Former Name | JESSICA ANNE PROSSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 336277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336277-1) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2016-06-10 |