| NPI | 1265069504 |
|---|---|
| Other Name | JACQUETTA GARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024180091) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001213031) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-10-29 |