NPI | 1700140886 |
---|---|
Former Name | KRISTA M JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 96) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R168636-8) |
Enumeration Date | 2012-07-03 |
Last Update Date | 2020-08-07 |