| NPI | 1811380934 |
|---|---|
| Former Name | JENNA TRIPLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA 60377889) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60377889) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2019-05-02 |