| NPI | 1457786667 |
|---|---|
| Former Name | JENNIFER LEE PEEBLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5439-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5439) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2020-04-13 |