| NPI | 1225477904 |
|---|---|
| Former Name | JESSICA A EADICICCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00454800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338012) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2015-08-17 |