NPI | 1578148441 |
---|---|
Former Name | AMANDA JUANITA HARMON-JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN24655) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029146) |
Enumeration Date | 2021-03-12 |
Last Update Date | 2025-03-07 |