| NPI | 1699483669 |
|---|---|
| Former Name | JESSICA KESNER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2275182) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2275182) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-09-08 |