| NPI | 1801414909 | 
|---|---|
| Former Name | JESSE HAYES | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25225) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 25225) | 
| Enumeration Date | 2020-07-06 | 
| Last Update Date | 2023-10-30 |