NPI | 1780225607 |
---|---|
Former Name | JESSICA BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025718) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 025718) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2024-07-08 |