| NPI | 1891404984 |
|---|---|
| Former Name | JESSICA STEPHANIE FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11023093) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-08-29 |