| NPI | 1811357627 |
|---|---|
| Former Name | JAMIE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN85668) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2019-02-22 |