| NPI | 1790278752 |
|---|---|
| Former Name | JESSICA NICOLE DESJARDINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018028690) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013017054) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-12-07 |