| NPI | 1295119915 |
|---|---|
| Former Name | JERRI L HARLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3009543) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005617A) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-01-25 |