NPI | 1265494066 |
---|---|
Former Name | JENNIFER W WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK 67094) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OK R0067094) |
364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: OK R0067094) | |
Enumeration Date | 2006-04-05 |
Last Update Date | 2020-12-02 |