| NPI | 1215581293 |
|---|---|
| Former Name | JESSICA LYNNE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IA K155915) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |