| NPI | 1902315922 |
|---|---|
| Former Name | JESSICA R PINNOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10002470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993320) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2023-06-05 |