| NPI | 1275366197 |
|---|---|
| Former Name | JESSICCA LYNN MENDENHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61598959) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |