| NPI | 1912261140 |
|---|---|
| Former Name | JENNY NICOLE REPLOGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1953) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012004406) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2013-01-17 |