NPI | 1184000879 |
---|---|
Former Name | OLIVIA A JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 058167-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 058167-23) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2269058) | |
Enumeration Date | 2015-08-04 |
Last Update Date | 2022-06-03 |