| NPI | 1598446270 |
|---|---|
| Former Name | JESSICA ANN STAMPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1129740) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 963689) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-05-15 |