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 |