NPI | 1497109342 |
---|---|
Former Name | JESSICA LYNN WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9348776) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: FL ARNP 9348776) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2021-03-31 |