| 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 |