| NPI | 1083101653 |
|---|---|
| Former Name | JENNA STEPHENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02006658A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO3028) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-07-07 |