| 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 |