| NPI | 1174535306 |
|---|---|
| Professional Name | JACKIE DEFFENBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209002146) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2010-03-31 |