| NPI | 1760722524 |
|---|---|
| Former Name | JENNA L STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.13334-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.13334-NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.13334-NP) | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2019-02-18 |