NPI | 1780156489 |
---|---|
Former Name | KAYLEE NICOLE JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: OR 202008910RN) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 202008910RN) | |
Enumeration Date | 2018-12-19 |
Last Update Date | 2025-02-05 |