NPI | 1679990394 |
---|---|
Former Name | JADE KATHLEEN JOHNSTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 217156) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 53490) |
163W00000X Registered Nurse (Licence: MT RN-44958) | |
363L00000X Nurse Practitioner (Licence: ID 53490) | |
163W00000X Registered Nurse (Licence: ID 53490) | |
Enumeration Date | 2014-03-19 |
Last Update Date | 2025-01-28 |