| NPI | 1639916844 |
|---|---|
| Former Name | JESSICA HALLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 4704377852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704377852) |
| 163W00000X Registered Nurse (Licence: WI 1113649) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 15698) | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2025-07-25 |