| NPI | 1033828207 |
|---|---|
| Former Name | CELENA NICOLE UPCHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017424) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 10011737) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 294831) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 205549) | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-12-22 |