| NPI | 1245518927 |
|---|---|
| Former Name | JESSICA L HAASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014774A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH COA.12439-NP) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2024-04-05 |