| NPI | 1093316093 |
|---|---|
| Former Name | JENNY LYNN POLLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 063382-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 063382-23) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-06-12 |