| NPI | 1720770514 |
|---|---|
| Former Name | JAYLENE CHARITY SCHLICHTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10202) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 10202) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-10-18 |