NPI | 1497259667 |
---|---|
Former Name | JEREMY KENDALL BRITT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010391) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010391) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-08-09 |