| NPI | 1942655592 |
|---|---|
| Former Name | JESSICA DAWN CLEMENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9213300) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9213300) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-03-09 |