NPI | 1770772683 |
---|---|
Former Name | JESSICA JOY KERSHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 5350) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CO 126657) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CO 5350) | |
Enumeration Date | 2007-10-16 |
Last Update Date | 2023-12-05 |