| NPI | 1770719452 |
|---|---|
| Former Name | JESSICA NICOLE THORNTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA16670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN324394) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2020-11-19 |