NPI | 1487001210 |
---|---|
Former Name | DEBORAH LYNN JUERGENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013016) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5013016) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9229146) | |
Enumeration Date | 2016-05-23 |
Last Update Date | 2023-02-20 |