NPI | 1932654563 |
---|---|
Former Name | JESSICA CAROLINE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN239259) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN239259) |
363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN239259) | |
Enumeration Date | 2016-08-24 |
Last Update Date | 2021-02-04 |