NPI | 1558963454 |
---|---|
Former Name | JANESHIA D JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25930) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 208527) |
Enumeration Date | 2020-11-15 |
Last Update Date | 2022-08-16 |