| NPI | 1336693068 |
|---|---|
| Former Name | LAURA ELIZABETH JERNIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020451) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2024-09-03 |