| NPI | 1760839443 |
|---|---|
| Other Name | JESSICA MARIE MACCARINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130201) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP130201) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-04-13 |