| NPI | 1750819298 |
|---|---|
| Former Name | JESSICA A. WYGANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP021221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.391864) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.021221) | |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2021-02-19 |