| NPI | 1124459185 |
|---|---|
| Former Name | HANNAH JERNIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 18113) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 18113) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-03-28 |