NPI | 1417456500 |
---|---|
Former Name | COURTNEY BETH JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136430) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 10026135) |
Enumeration Date | 2018-02-05 |
Last Update Date | 2024-06-18 |