| NPI | 1356652341 |
|---|---|
| Former Name | JENA MARIE SRIVASTAVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2331839) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24189470) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R265902) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61508873) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336355) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2331839) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 24189470) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61508873) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R265902) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2024-05-07 |