| NPI | 1336673425 |
|---|---|
| Former Name | JESSICA HERRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.024899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.396336) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2019-06-20 |