| NPI | 1538782826 |
|---|---|
| Former Name | JESSICA KURZDORFER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402976) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 70145) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10012124) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R268663) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-10-03 |