NPI | 1437601341 |
---|---|
Former Name | JENICE RENEE REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020128) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP-020128) |
363LF0000X Nurse Practitioner, Family (Licence: OH RN-257024) | |
Enumeration Date | 2016-10-26 |
Last Update Date | 2024-02-07 |