| NPI | 1174048524 |
|---|---|
| Former Name | JESSICA LYNN DERNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 859132) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NV RN56892) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 859132) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 859132) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-11-30 |