| NPI | 1982220901 |
|---|---|
| Former Name | JENNA CHRISTINE MOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH LE-00031720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015005161) |
| 163W00000X Registered Nurse (Licence: OH 445888) | |
| 163WE0003X Registered Nurse, Emergency (Licence: MO B01149900) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-08-06 |