| NPI | 1346232352 |
|---|---|
| Former Name | JENNIFER L SHIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A098791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A098791) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IA 098791-A) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2023-05-09 |