| NPI | 1740272855 |
|---|---|
| Former Name | JENNIFER R EDGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C096977) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA C096977) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-11-24 |