| NPI | 1164132031 |
|---|---|
| Former Name | JESSICA HOCKENBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP026018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN603380) |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |