| NPI | 1952846073 |
|---|---|
| Former Name | JESSICA EASON FARRAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.020249) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2022-01-25 |