NPI | 1952721615 |
---|---|
Former Name | JENNIFER EMERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022483) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN-TEMP2493) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004062) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209022483) | |
Enumeration Date | 2014-04-21 |
Last Update Date | 2024-01-03 |