| NPI | 1033940382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BRACKENRICH Owner, Nurse Practitioner 540-315-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |