| NPI | 1528062262 |
|---|---|
| Former Name | JEANETTE MARLENE HANCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45120) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0002753) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 45120) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2023-08-21 |