NPI | 1073574737 |
---|---|
Former Name | JEANNE PAUL-ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12370) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN39382-FNP-BC) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2020-04-02 |