| NPI | 1962955773 |
|---|---|
| Former Name | JESSICA B WEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71006272A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11013341) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2023-03-02 |