| NPI | 1437484300 |
|---|---|
| Former Name | JEANNE L SCULLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1345366) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R134536-6) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2018-06-13 |