Individual
MRS. JESSICA MARIE KNUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1655151
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0993935-NP
CO
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.019840
OH
Other
Enumeration date
09/07/2016
Last updated
09/10/2018
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