| NPI | 1437546314 |
|---|---|
| Former Name | JENNIFER MARIE KLEMENTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9261085) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2021-06-08 |