NPI | 1871948703 |
---|---|
Former Name | JAYMIE J. CULLENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179428) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001307944) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024179428) | |
363LF0000X Nurse Practitioner, Family (Licence: MD AC002985) | |
Enumeration Date | 2016-04-28 |
Last Update Date | 2025-01-25 |