NPI | 1013525187 |
---|---|
Doing Business As | KERSHAW PRIMARY CARE AND WEIGHT LOSS |
Entity Type | Organization |
Authorized Contact | VALARIE KERSHAW-BERRY Over/Nurse Practitioner 662-902-9883 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
2084P0805X | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2020-07-15 |
Last Update Date | 2025-05-13 |