NPI | 1245578053 |
---|---|
Former Name | JENNIFER RACHELLE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R150711) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN68347) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2014-08-28 |