NPI | 1376548727 |
---|---|
Former Name | JOANNE BLEDSOE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN7789) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 120603) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2022-03-29 |