NPI | 1801596697 |
---|---|
Former Name | LYNDSEE LEE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-84233) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 26942) |
363LG0600X Nurse Practitioner, Gerontology (Licence: SC 26942) | |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MO 2025010996) | |
Enumeration Date | 2023-03-09 |
Last Update Date | 2025-05-14 |