NPI | 1497874051 |
---|---|
Former Name | JENNIFER LYNN MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0003518-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 105765) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2025-07-08 |