NPI | 1306218565 |
---|---|
Former Name | JESSICA D. ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A115887) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A115887) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2025-05-13 |