NPI | 1295032746 |
---|---|
Former Name | JENNIFER K CLEGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005086) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005086) |
Enumeration Date | 2011-02-18 |
Last Update Date | 2024-05-30 |