Individual
JESSICA DANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
228450
SC
163WC1500X
Community Health Registered Nurse
228450
SC
163WP0200X
Pediatric Registered Nurse
228450
SC
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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