| NPI | 1538878475 |
|---|---|
| Former Name | JASLYN JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1032344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1032344) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1032344) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-12-02 |