| NPI | 1245937440 |
|---|---|
| Former Name | JENA LYNN DONNELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998520-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1653534) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2024-12-16 |