| NPI | 1942544937 |
|---|---|
| Former Name | JENNIFER MARIE CONN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5082) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN126561) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5082) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-03-30 |