| NPI | 1508241506 |
|---|---|
| Former Name | JENELLE C VARGULICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9413215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339731-1) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2021-08-10 |