| NPI | 1023477395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELIZABETH STRONG Owner/Nurse Practitioner 601-882-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R881742) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-05-01 |