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 |