| NPI | 1982251096 |
|---|---|
| Former Name | JAYNE ELIZABETH MACOMBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112932) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76144) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-06-20 |