| NPI | 1629571161 |
|---|---|
| Former Name | JENNIFER LYNN COLVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 836253) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA pending) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-08-10 |