| NPI | 1366253213 |
|---|---|
| Other Name | JEROME RICHARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 242512) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA RN141212) |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-10-03 |