| NPI | 1922848175 |
|---|---|
| Former Name | JESSICA ERIN SHEPPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 000000000) |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-05-27 |