| NPI | 1528542354 |
|---|---|
| Former Name | JENNIFER LYNN IPPEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176226) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176226) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-25 |