| NPI | 1477371508 |
|---|---|
| Former Name | JENNIFER JOYCE SUMMERLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907010) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MS R875178) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-10-22 |