| NPI | 1790322444 |
|---|---|
| Former Name | JENNIFER SUZANNE ANDREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3014063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014063) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-01-29 |