| NPI | 1982253316 |
|---|---|
| Former Name | JESSICA C. ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN201807) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN201807) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |