NPI | 1780349415 |
---|---|
Former Name | JESSICA D LOWERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL APRN11029417) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9361372) |
163WN0002X Registered Nurse Neonatal Intensive Care (Licence: FL RN9361372) | |
Enumeration Date | 2021-11-08 |
Last Update Date | 2024-01-30 |