| NPI | 1295487015 |
|---|---|
| Former Name | JENNIFER LYNN CHRISCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP221012) |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2022-01-23 |