| NPI | 1396942181 |
|---|---|
| Former Name | JENNIFER NADINE BLEVINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA DO000384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102202376) |
| 207R00000X Internal Medicine (Licence: TX P7569) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2014-12-31 |