| NPI | 1821423211 |
|---|---|
| Former Name | JESSICA L LUPARDUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R247967) |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2320153) | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2021-07-15 |