| NPI | 1306887856 |
|---|---|
| Former Name | JESSICA R RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00853) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN00853) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-11-23 |