| NPI | 1023155710 |
|---|---|
| Former Name | JAMIE LYNN BOGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 46090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS RN 1349109041) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: KS 74676) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-04-04 |