NPI | 1528411188 |
---|---|
Former Name | JENNIFER NICOLE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN139076-IV) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2023-01-05 |