NPI | 1871927574 |
---|---|
Former Name | JENNIFER I FITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP123821) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0100310-C-NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 74149) | |
363LF0000X Nurse Practitioner, Family (Licence: TX AP123821) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0100609-C-NP) | |
Enumeration Date | 2013-08-29 |
Last Update Date | 2024-08-09 |