| NPI | 1760126171 |
|---|---|
| Former Name | SHANITA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33967) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016094) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2023-07-25 |