NPI | 1922890441 |
---|---|
Other Name | JENNA ANZALONE MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 210405) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 210405) |
Enumeration Date | 2025-05-20 |
Last Update Date | 2025-09-15 |