| NPI | 1083216329 |
|---|---|
| Former Name | COURTNEY JANINE MCCLENDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71011628A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28237533A) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2022-02-17 |