NPI | 1205288727 |
---|---|
Former Name | JESSICA NICOLE BAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61370629) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61370629) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9424377) | |
Enumeration Date | 2016-07-08 |
Last Update Date | 2022-11-15 |