| NPI | 1245584754 | 
|---|---|
| Former Name | JESSICA ANN REINHOLD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 35366) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0992844-NP) | 
| 363L00000X Nurse Practitioner (Licence: CA NP95007213) | |
| Enumeration Date | 2012-11-06 | 
| Last Update Date | 2025-02-18 |