| NPI | 1073877023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL JEANNETTE JOHNSON Nurse Pracitioner/Owner 870-799-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR P01429) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-11-20 |