| NPI | 1952974024 |
|---|---|
| Former Name | JESSICA BLAKE STANGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61523096) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11013787) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-05-29 |