NPI | 1992266191 |
---|---|
Former Name | JESSICA LEIGH ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-134174) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-134174) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2022-06-27 |