| NPI | 1598707291 |
|---|---|
| Former Name | JODIE LYNN CARVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY 3002832) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3002832) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-08-03 |