NPI | 1235670985 |
---|---|
Other Name | SHELLY JEFFREYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 2016032066) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-113424) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2020-01-13 |