| NPI | 1063112712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKIESHA SHEAFFER Owner/Practitioner 541-414-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |