NPI | 1740857887 |
---|---|
Other Name | JESSICA ADRIENNE AXMEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021019788) |
Enumeration Date | 2021-06-08 |
Last Update Date | 2023-06-23 |