NPI | 1720833932 |
---|---|
Former Name | KAYLEY SCRUGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 36726) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 256420) |
Enumeration Date | 2024-04-22 |
Last Update Date | 2025-07-30 |