| NPI | 1528319654 |
|---|---|
| Former Name | JENNA AUTUMN STUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5007159) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP02053) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2016-12-28 |