| NPI | 1295281384 |
|---|---|
| Former Name | JESSICA HEATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 891866) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-01-23 |