NPI | 1982063988 |
---|---|
Former Name | JENNIFER SUZETTE BYARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-076818 CRNP) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9394055) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2017-01-19 |