| NPI | 1942656483 |
|---|---|
| Former Name | JENNIFER NICOLE SHAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.19220) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.19220) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-08-07 |