| NPI | 1679964019 |
|---|---|
| Former Name | GINGER NICHOLE WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1232486) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61333001) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: OK R0077265) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK R0077265) | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2026-09-25 |