| NPI | 1528384922 |
|---|---|
| Former Name | AMANDA S JERRELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9278216) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 794382) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2014-10-13 |