NPI | 1720600869 |
---|---|
Former Name | JESSICA L SEIDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WV 120332) |
Additional Taxonomies | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: WV 120332) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AZ 242287) | |
163W00000X Registered Nurse (Licence: AZ RN150577) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ 242287) | |
2084E0001X Psychiatry & Neurology, Epilepsy (Licence: WV 120332) | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WV 120332) | |
2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: WV 120332) | |
Enumeration Date | 2020-05-12 |
Last Update Date | 2024-09-11 |