| NPI | 1194556035 |
|---|---|
| Former Name | SHELBY JERENE LOVEGROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1048314) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1048314) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |