| NPI | 1205589058 |
|---|---|
| Former Name | JILL BOUNDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 218852) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 218852) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 218852) | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-10-17 |