| NPI | 1801548433 |
|---|---|
| Former Name | JESSICA ANNE HARTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: NE 2704) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2704) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-07-12 |