| NPI | 1346018827 |
|---|---|
| Former Name | JENNIFER L RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ14996100) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-02-02 |