| NPI | 1033864822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LYNN DOOLIN THOMPSON Owner/ Health Care Provider 270-215-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2022-02-20 |
| Last Update Date | 2023-11-01 |