| NPI | 1942582242 |
|---|---|
| Former Name | JILL KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-177342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12648-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12648) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2020-11-16 |