| NPI | 1306311410 |
|---|---|
| Former Name | JESSICA ANNE BERRENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139108) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 801567) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |