| NPI | 1841328317 |
|---|---|
| Former Name | JESSICA ERIN HORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 716178) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 001745) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-01-12 |