| NPI | 1033462148 |
|---|---|
| Doing Business As | CHILDREN'S ADVOCACY CENTER OF THE BLUE RIDGE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JERNIGAN Executive Director 828-584-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 174400000X Specialist |
| 207Q00000X Family Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2019-05-16 |