NPI | 1871053074 |
---|---|
Former Name | JENNIFER R MESSINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP020154) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP020154) |
363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP020154) | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2019-03-22 |