| NPI | 1326686767 |
|---|---|
| Former Name | JESSICA RUDISELL & WAINRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0992705-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79168-042) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019044076) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2023-08-28 |