| NPI | 1942785993 |
|---|---|
| Former Name | JENNIFER LYNNE CLAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011064) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 2018020626) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2023-03-01 |