| NPI | 1528532272 |
|---|---|
| Former Name | MARISA KRISTINE JAHNKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA APRN-NP193648) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2025-10-09 |