NPI | 1558554014 |
---|---|
Former Name | JANECIA LYNN KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.09517) |
Enumeration Date | 2007-08-19 |
Last Update Date | 2024-05-06 |