| NPI | 1205911948 |
|---|---|
| Former Name | JENNIFER MADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202209935NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202209935NP-PP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 122904) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-08-10 |