| NPI | 1174760615 |
|---|---|
| Former Name | JESSICA MARIE LEAMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN164557) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |