| NPI | 1841994530 |
|---|---|
| Former Name | JENNIFER LYNNE CALLWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95168913) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95168913) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95168913) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95168913) | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |