| NPI | 1659993152 |
|---|---|
| Former Name | RENEE NELLIS/DEJAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3011101) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IN 09000287A) |
| 367A00000X Advanced Practice Midwife (Licence: CNM04005) | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2023-12-01 |