| NPI | 1700432739 |
|---|---|
| Former Name | JESSICA LYNN JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP027257) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000360) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2023-04-19 |