| NPI | 1457661449 |
|---|---|
| Former Name | JENNIFER LYNN MACADAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.023092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9293693) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11926-NP) | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2024-10-24 |