Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN1030295 | DC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN1030295 | DC |
NPI | 1396285680 |
---|---|
Provider Name | Mrs. Jessica Jean Thurn |
First Address | Washington, DC 20002-4449 |
Second Address | Washington, DC 20002-4449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2017 |
Last Update Date | 06/03/2017 |