NPI | 1497254932 |
---|---|
Former Name | TENISHIA KIM JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN273857) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176300) |
Enumeration Date | 2018-02-11 |
Last Update Date | 2024-01-02 |