| NPI | 1972282044 |
|---|---|
| Former Name | JENNIFER STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61481251) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: WA RN00138358) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-09-19 |