| NPI | 1629305263 |
|---|---|
| Former Name | JENNIFER LYN PIGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1098654) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2017-04-24 |