| NPI | 1972042315 |
|---|---|
| Former Name | JENNIFER CHRISTINE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WI 7360-33) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 7360-33) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: WI 7360-33) | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2020-10-01 |