| NPI | 1407281272 |
|---|---|
| Former Name | JACY F SUTTLEMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 76157) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2021-03-24 |