| NPI | 1053544155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCI W PARISH Owner 601-798-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS R619442) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2014-07-21 |