| NPI | 1982137055 |
|---|---|
| Former Name | JAMIE LYNN EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0091103) |
| Additional Taxonomies | 3416A0800X Ambulance, Air Transport |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 91103) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-04-07 |