| NPI | 1245760347 |
|---|---|
| Former Name | JANELLE SUZANNE EDMONDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 22974) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024187669) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 202110418NP-PP) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT NUR-APRN-LIC-178407) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-03-19 |