| NPI | 1275906455 |
|---|---|
| Former Name | JESSICA ENGLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 102341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 102341) |
| 163W00000X Registered Nurse (Licence: AR R087203) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2021-10-13 |