NPI | 1285026997 |
---|---|
Former Name | JESSICA RAPPENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 309290) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 8249) |
363LF0000X Nurse Practitioner Family (Licence: VT 101-0109063) | |
363LP2300X Nurse Practitioner Primary Care (Licence: NH 071258-23) | |
Enumeration Date | 2015-03-04 |
Last Update Date | 2022-07-01 |