NPI | 1477063758 |
---|---|
Former Name | JESSICA JEAN ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021514) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402716) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.021514) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021514) | |
Enumeration Date | 2017-10-02 |
Last Update Date | 2023-05-11 |