| NPI | 1548080559 |
|---|---|
| Former Name | JENNIANNE KATHERINE SCROGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN297214) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN297214) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |