NPI | 1245769033 |
---|---|
Former Name | JESSAMINE CONLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.020936) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 020936) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2024-10-29 |