| NPI | 1861901555 |
|---|---|
| Former Name | JODI LYNNE SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H131394) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 15352-33) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-06-06 |