| NPI | 1720497837 |
|---|---|
| Former Name | JENNIFER LAUREN ELROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 127384) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2021-06-02 |