| NPI | 1801589460 |
|---|---|
| Former Name | BRANDY JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4005616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH CNP.0033938) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2024-10-02 |