NPI | 1073511481 |
---|---|
Former Name | JENNIFER L. ENSCOE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9343457) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9343457) |
Enumeration Date | 2005-07-09 |
Last Update Date | 2021-03-30 |