| NPI | 1841527538 |
|---|---|
| Former Name | JESSICA LYNN DUBE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209-008407) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN278918) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2021-11-23 |