| NPI | 1174708812 |
|---|---|
| Former Name | JENNIFER SUE MATZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200950051NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000013155) |
| 163W00000X Registered Nurse (Licence: TN RN0000157343) | |
| 163W00000X Registered Nurse (Licence: OR 200940952RN) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 13155) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2020-10-16 |