| NPI | 1861968133 |
|---|---|
| Former Name | ALLEN JESSEE BISHOP |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2017018571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN98594) |
| 163W00000X Registered Nurse (Licence: AZ 271155) | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2025-04-11 |