| NPI | 1114593357 |
|---|---|
| Former Name | JACLYN SCHULTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352140) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 879226-01) |
| 163WS0200X Registered Nurse, School (Licence: WA RN60992265) | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2023-09-07 |