NPI | 1356813653 |
---|---|
Former Name | JENNIFER MARIE WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 220412) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 433088) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11028038) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704407614) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1141255) | |
Enumeration Date | 2018-12-26 |
Last Update Date | 2024-08-20 |