| NPI | 1619971678 |
|---|---|
| Former Name | JAMIE RENEE JEFFREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NE 110526) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 110526) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2022-08-19 |