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Individual
JESSICA BASS
Active
Individual
JESSICA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
821402
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
887149
MS
Other
Enumeration date
08/23/2022
Last updated
02/24/2025
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