NPI | 1255506929 |
---|---|
Former Name | JENNIE JON SWARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7612) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R30139) |
363LF0000X Nurse Practitioner, Family (Licence: MN 7612) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R30139) | |
Enumeration Date | 2008-04-24 |
Last Update Date | 2024-07-19 |