NPI | 1952960908 |
---|---|
Former Name | JESSICA JO WHITESELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71009236A) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28178610A) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2023-08-23 |