NPI | 1790339372 |
---|---|
Former Name | SKYE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R218382) |
Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MD R218382) |
363LF0000X Nurse Practitioner Family (Licence: VA 0024186891) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-07-31 |
Last Update Date | 2023-04-25 |