| NPI | 1477914000 |
|---|---|
| Former Name | JACLYN DANIELLE HORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008434) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 248897) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2020-08-13 |