| NPI | 1750066700 |
|---|---|
| Former Name | JESSICA MARIE SHIPPEE MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KS 594389) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |