NPI | 1598127664 |
---|---|
Former Name | LAKIESHA MICHELLE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00619200) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00619200) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2023-12-20 |