| NPI | 1184651556 |
|---|---|
| Former Name | JENNIFER DAVIS-JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WV 119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 44218) |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: WV 119) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-05-28 |