| NPI | 1972144467 |
|---|---|
| Former Name | JAYME K BRISTOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112891) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A157216) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003341) | |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2025-11-04 |