| NPI | 1891087284 |
|---|---|
| Former Name | JENNIFER JEAN ALTENBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP111014) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 075038-23) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2023-09-05 |