| NPI | 1619531720 |
|---|---|
| Former Name | JENNIFER SHOCKEY/QUIOGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0031221) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1126770) |
| 363L00000X Nurse Practitioner (Licence: KY 3013444) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3013444) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-03-28 |