| NPI | 1699487165 |
|---|---|
| Former Name | TAMMY MICHELLE JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022950) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11022950) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-28 |