| NPI | 1023034543 |
|---|---|
| Former Name | JENNIFER LYNN HAMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A105742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 105742) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-05-28 |