NPI | 1063020162 |
---|---|
Former Name | JENNIFER MARIE PIERCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01028300) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR13747900) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01028300) | |
Enumeration Date | 2020-07-15 |
Last Update Date | 2021-12-21 |