| NPI | 1629190731 |
|---|---|
| Former Name | JENNIFER RAE TIGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11008019) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 0050-1620) |
| 363L00000X Nurse Practitioner (Licence: NC 5001620) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 203964) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-11-07 |