| NPI | 1659417186 |
|---|---|
| Former Name | JOYLYN K HEADINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650129NP FNP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 284812) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-09-13 |