NPI | 1073952446 |
---|---|
Former Name | JENNIFER LYNN ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15761) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15761) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2025-01-28 |