| NPI | 1326557240 |
|---|---|
| Former Name | JASON ROBERT POWERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11015460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2291841) |
| 163W00000X Registered Nurse (Licence: CA RN95139213) | |
| 363L00000X Nurse Practitioner (Licence: CA NP95007565) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-06-28 |