# JESSICA EYSENBACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659859874
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | RN2321095 | MA | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | MCS002800B | MA | — |

## Other

- **Enumeration date:** 07/31/2018
- **Last updated:** 08/02/2023