| NPI | 1528559549 |
|---|---|
| Former Name | JESSICA CHRISTINE DODSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 97991) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 97991) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 97991) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-05-05 |