| NPI | 1861638504 |
|---|---|
| Former Name | JENNIFER L CHIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111962) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN187723) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2021-02-25 |