| NPI | 1831825025 |
|---|---|
| Former Name | JESSICA KATHRYN EGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 089082-23) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 089082) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-10-14 |