NPI | 1891307013 |
---|---|
Former Name | JOYCE ELAINE BRUNSON-OLLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013639) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 275002) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5013639) | |
Enumeration Date | 2020-08-19 |
Last Update Date | 2024-11-15 |