| NPI | 1801972682 |
|---|---|
| Former Name | JAMA JELAINE FOSSETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 106090) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2021050610) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-12-30 |