| NPI | 1093356891 |
|---|---|
| Former Name | JOLYNN HAIRSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 101697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001336) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2024-08-15 |