NPI | 1326055492 |
---|---|
Former Name | JESSICA C HATFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN252252) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA NP 252252) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA NP252252) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2021-11-09 |