NPI | 1851782288 |
---|---|
Former Name | JESSICA SHARI GERRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992434-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1639479) |
363L00000X Nurse Practitioner (Licence: CO APN.0992434-NP) | |
Enumeration Date | 2015-02-06 |
Last Update Date | 2018-12-04 |