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Individual
JESSICA L NEWGARD
Active
Individual
JESSICA L NEWGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
201506871RN
OR
367A00000X
Advanced Practice Midwife
Primary
201707244NP-PP
OR
Other
Enumeration date
11/12/2015
Last updated
10/13/2020
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