| NPI | 1992886956 |
|---|---|
| Former Name | JENNIFER ANN NEWPORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007086) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-10-21 |