| NPI | 1497034458 |
|---|---|
| Former Name | JESSICA NICOLE DRAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 724324) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2018-03-17 |