| NPI | 1871947069 | 
|---|---|
| Former Name | JENNIFER L FLETCH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4542) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 151410-30) | 
| Enumeration Date | 2016-04-14 | 
| Last Update Date | 2023-10-16 |