| NPI | 1295912996 |
|---|---|
| Former Name | JESSICA LAYNE KORNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9575-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9237035) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2019-09-10 |