NPI | 1760615785 |
---|---|
Former Name | JESSA SHAW-BATTISTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 335888) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 588862) |
163W00000X Registered Nurse (Licence: DC RN1014555) | |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2299304) | |
363LF0000X Nurse Practitioner, Family (Licence: NH 084285-23) | |
363LF0000X Nurse Practitioner, Family (Licence: DC RN1014555) | |
Enumeration Date | 2009-08-25 |
Last Update Date | 2024-01-08 |