| NPI | 1962154559 |
|---|---|
| Former Name | JESSIE C DECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0030908) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.361849) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 2021185662) | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-03-15 |