| NPI | 1700163771 |
|---|---|
| Former Name | JESSICA LYNN YANUSZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005386) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 207353) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2017-01-11 |