NPI | 1922728112 |
---|---|
Former Name | JESSICA F HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188729) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001302159) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2024-02-29 |