| NPI | 1649937079 |
|---|---|
| Former Name | JENA LOUANNE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 25124) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |