| NPI | 1093048191 |
|---|---|
| Former Name | JAMIE LYNN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP118209) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 687826) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2019-05-13 |