NPI | 1326417031 |
---|---|
Former Name | AVRIL ELISE JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 1732) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 1732) |
363LP2300X Nurse Practitioner, Primary Care (Licence: HI 1732) | |
Enumeration Date | 2015-09-23 |
Last Update Date | 2024-05-22 |