NPI | 1396382792 |
---|---|
Former Name | JESSICA LYNN MORCONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383270) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 8642) |
Enumeration Date | 2019-12-04 |
Last Update Date | 2024-10-08 |