| NPI | 1861632176 |
|---|---|
| Former Name | JENNIFER LINDA MACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179751) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 184613) |
| 163W00000X Registered Nurse (Licence: CA rn727829) | |
| 163W00000X Registered Nurse (Licence: DC rn1007817) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2022-01-01 |