| 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 |