NPI | 1073812541 |
---|---|
Former Name | KRISTEN LEE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP119284) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 701980) |
363LF0000X Nurse Practitioner, Family (Licence: TX 701980) | |
Enumeration Date | 2011-03-22 |
Last Update Date | 2021-01-07 |