| NPI | 1700451069 |
|---|---|
| Former Name | JESSICA POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 30586) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MS 902290) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AR 219358) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2022-07-29 |