| NPI | 1346993342 |
|---|---|
| Former Name | JESSICA RENEE TYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0030012) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-11-28 |