| NPI | 1437977287 |
|---|---|
| Former Name | SHYANN NICOLE JINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-195323) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |