NPI | 1861488504 |
---|---|
Former Name | JAMI D CARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3613P) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 16205) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2012-03-28 |