| NPI | 1780957290 |
|---|---|
| Former Name | JENNIFER ANN BOSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012008574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-117878-121) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2001016497) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75607-121) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2022-08-23 |