NPI | 1013628601 |
---|---|
Former Name | CHANDLER JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32809) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 32809) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2023-12-11 |