| NPI | 1265200182 |
|---|---|
| Former Name | JESSICA LYNN FELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999253-NP) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-04-30 |