| NPI | 1588159594 |
|---|---|
| Former Name | JESSICA LYNN DUDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP030487) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R197315) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2025-08-27 |