| NPI | 1417668005 |
|---|---|
| Former Name | SHAWREE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA 2022062204) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |