| NPI | 1568997815 |
|---|---|
| Former Name | JILL S JAZWINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP017334) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 59353) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-06-01 |