| NPI | 1760978167 |
|---|---|
| Other Name | JESSICA GLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP137955) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013551A) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-02-06 |