NPI | 1932583150 |
---|---|
Former Name | JAZMYNE ARTEESE GREENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95010166) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 851785) |
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 851785) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP139156) | |
Enumeration Date | 2015-07-17 |
Last Update Date | 2023-09-25 |