| NPI | 1871948703 |
|---|---|
| Former Name | JAYMIE J. CULLENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024179428) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024179428) |
| 163W00000X Registered Nurse (Licence: VA 0001307944) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD AC002985) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5008510) | |
| 363LF0000X Nurse Practitioner Family (Licence: SC 21518) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-03-11 |