Individual
JENNIFER-ROSE ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP- AC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024183414
VA
363LP0222X
Critical Care Pediatric Nurse Practitioner
SP022569
PA
Other
Enumeration date
10/06/2020
Last updated
08/09/2023
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