| NPI | 1497030811 |
|---|---|
| Professional Name | JEANETTA JEAN SHRIVER FNP-BC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA12752-NP) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2012-07-17 |