Individual
JESSICA LEE HUCKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
203 HUNTINGTON DR, GILLETTE, WY 82718-5770
(307) 299-7006
Mailing address
203 HUNTINGTON DR, GILLETTE, WY 82718-5770
(307) 299-7006
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
23136
WY
Other
Enumeration date
03/10/2017
Last updated
05/10/2019
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