| NPI | 1093355067 |
|---|---|
| Former Name | JACQUELINE RENEE BRICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025352) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015306) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2023-10-11 |