| NPI | 1619385119 |
|---|---|
| Former Name | JESSICA MARIE TERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1690A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60495206) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60495206) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60495206) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2016-11-29 |