| NPI | 1265751838 |
|---|---|
| Former Name | JENNIFER LYN HENNESSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041308450) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209-007791) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2023-11-20 |