| NPI | 1407174949 |
|---|---|
| Former Name | JESSICA ANNE WHARTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5011410) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9218836) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2024-09-05 |