| NPI | 1730067836 |
|---|---|
| Former Name | JENNIFER R REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP033792) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA 746067) |
| 163WH1000X Registered Nurse, Hospice (Licence: PA 746067) | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-10-09 |