NPI | 1477258341 |
---|---|
Former Name | JENNIFER CRAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 75717) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10007694) |
Enumeration Date | 2023-03-31 |
Last Update Date | 2025-01-07 |