| NPI | 1487951307 |
|---|---|
| Former Name | JENNIFER NICHOLE HOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010975) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO NP-10320) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2024-09-03 |