| NPI | 1528406402 |
|---|---|
| Former Name | JESSICA MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11006608) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH RN301203) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-03-09 |