| NPI | 1275395212 |
|---|---|
| Former Name | JENNIFER ANN NAGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 14503-33) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: WI 14503-33) |
| 207QA0000X Family Medicine Adolescent Medicine (Licence: WI 14503-33) | |
| 207Q00000X Family Medicine (Licence: WI 14503-33) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: WI 14503-33) | |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: WI 14503-33) | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-29 |