| NPI | 1689029480 |
|---|---|
| Former Name | EQUILLA JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9293530) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9293530) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-07-20 |