| NPI | 1689224578 |
|---|---|
| Former Name | JENNIFER SHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61425969) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10006786) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309303) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 213628) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-11-13 |