| NPI | 1861903155 |
|---|---|
| Former Name | JESSICA HOWARD PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN150663) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 150663) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2023-04-05 |