| NPI | 1164521696 |
|---|---|
| Former Name | JESSICA ELIZABETH MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9204951) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WV 68642) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN APN 13495) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-03-17 |