| NPI | 1134507106 |
|---|---|
| Former Name | JENNIFER RENEE STONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991749-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0991749-NP) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2021-03-17 |