| NPI | 1376174706 |
|---|---|
| Former Name | CHELSEA T JOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN204790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN204790) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP201052) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2022-11-02 |