| NPI | 1588066468 |
|---|---|
| Former Name | JESSICA M VAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F306893) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306893) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2025-10-09 |