NPI | 1972048304 |
---|---|
Former Name | JENNIFER W HOUSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 901879) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 901879) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2020-11-27 |