| NPI | 1154694065 |
|---|---|
| Former Name | JEANETTE MISSOURI SESSOMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169918) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2023-09-14 |