NPI | 1548047376 |
---|---|
Other Name | JENNIFER AMBER PASSMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11028626) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028626) |
Enumeration Date | 2023-09-14 |
Last Update Date | 2023-12-20 |