| NPI | 1083259287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMINA M LIVERMAN Pmhnp 804-295-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-05-02 |