NPI | 1205183415 |
---|---|
Former Name | GRETHE JUNE M JENNINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10015210) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8585) |
363L00000X Nurse Practitioner (Licence: PA SP029043) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MN 1916) | |
363LN0000X Nurse Practitioner, Neonatal (Licence: MN 1916) | |
363LN0000X Nurse Practitioner, Neonatal (Licence: OR 10015210) | |
363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 281915) | |
Enumeration Date | 2012-08-07 |
Last Update Date | 2024-07-29 |