NPI | 1013624402 |
---|---|
Entity Type | Organization |
Authorized Contact | JASMIN PERRY Owner/Provider 727-382-3538 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-11-07 |