| NPI | 1295353555 |
|---|---|
| Former Name | JENNIFER AXLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000219984) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-09-26 |