NPI | 1023990447 |
---|---|
Entity Type | Organization |
Authorized Contact | DE'VON DEON CROSS CEO/Founder 404-540-8282 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207R00000X Internal Medicine |
363LC1500X Nurse Practitioner, Community Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LP2300X Nurse Practitioner, Primary Care | |
163WI0500X Registered Nurse, Infusion Therapy | |
Enumeration Date | 2025-07-25 |
Last Update Date | 2025-08-12 |