| NPI | 1679954721 |
|---|---|
| Former Name | JENNIFER LEE TELESCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 8045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 550521-1) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2025-01-09 |