| NPI | 1710254453 |
|---|---|
| Former Name | LAUREAL JANEICE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5017751) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: SC 23196) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TN RN0000178689) | |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2023-10-01 |