| NPI | 1396199154 |
|---|---|
| Former Name | JESSICA NICOLE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN21069) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN176240) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2022-07-21 |