Individual
JENNIFER MAXWELL
Active
Individual
JENNIFER MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, EMT-P
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
137629
TX
163WE0003X
Emergency Registered Nurse
Primary
647990
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
Update your record
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