NPI | 1447757398 |
---|---|
Former Name | JAVANNA COLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP137413) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 861459) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP137413) | |
Enumeration Date | 2018-04-08 |
Last Update Date | 2025-07-10 |