| NPI | 1528779444 |
|---|---|
| Former Name | JACI MARIE CASTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10002157) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: OR 831838) |
| 363L00000X Nurse Practitioner (Licence: OR 10002157) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-03-10 |