NPI | 1083614952 |
---|---|
Other Name | JEANNINE LOUISE EVERETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9428067) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 28140609A) |
364S00000X Clinical Nurse Specialist (Licence: IN 70000188A) | |
Enumeration Date | 2005-07-21 |
Last Update Date | 2022-09-09 |