| NPI | 1881209294 |
|---|---|
| Former Name | JENNIFER MAUPIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71010282A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71010282A) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2025-09-17 |