| NPI | 1942867361 |
|---|---|
| Former Name | JESSICA BURNS TYNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP143319) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 193430) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-10-22 |