NPI | 1982161196 |
---|---|
Former Name | ALLIE LYNNAE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN223515) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN223515) |
Enumeration Date | 2019-02-24 |
Last Update Date | 2019-08-07 |