| NPI | 1619216736 |
|---|---|
| Former Name | JESSICA ELAINE DURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN77792-FNP-BC) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV APRN77792-FNP-BC) |
| 163W00000X Registered Nurse (Licence: WV 77792) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2021-11-17 |