NPI | 1760911044 |
---|---|
Former Name | JENNIFER ELIZABETH MORSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023410) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 1911966) |
163W00000X Registered Nurse (Licence: CA 719740) | |
363L00000X Nurse Practitioner (Licence: CA F11220446) | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2023-10-17 |