NPI | 1285433169 |
---|---|
Former Name | JENNIFER LYNN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2025007539) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016025480) |
Enumeration Date | 2025-03-12 |
Last Update Date | 2025-03-12 |