| NPI | 1831530427 |
|---|---|
| Former Name | JERRICA LYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012965) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024171421) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC 1061504) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2374072) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01259600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704368834) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026520) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2023-11-30 |