NPI | 1366608150 |
---|---|
Former Name | JENNIFER RUTH JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007151) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 209.007151) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2019-05-20 |