| NPI | 1447245436 |
|---|---|
| Other Name | KAREN RAE JERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000355B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28072059A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71000355A) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |