NPI | 1548815293 |
---|---|
Former Name | JESSICA N STEARNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 029.019857) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041441276) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2023-02-09 |