NPI | 1699503243 |
---|---|
Former Name | STEPHANIE KRISTIN JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM 80107) |
Enumeration Date | 2024-07-24 |
Last Update Date | 2024-07-25 |