| NPI | 1851676134 |
|---|---|
| Former Name | JENNIFER LEE HEARN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 651630) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2014-02-21 |