| NPI | 1043605314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD CEO 337-408-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology |
| 363LF0000X Nurse Practitioner, Family | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-10-23 |