| NPI | 1902531908 |
|---|---|
| Former Name | JENNY RENEE BOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997492) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2024-01-11 |