NPI | 1376797506 |
---|---|
Former Name | JESSICA M MARPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.10240) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.10240-NP) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2018-09-26 |