NPI | 1902215460 |
---|---|
Other Name | JEFFRIE PERKINS DUBERVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07974) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 128195) |
363LF0000X Nurse Practitioner, Family (Licence: NM 02736) | |
Enumeration Date | 2014-08-10 |
Last Update Date | 2015-09-12 |