| NPI | 1124701123 |
|---|---|
| Former Legal Business Name | VITAL PRIMARY CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | ALICIA GAIL JONES Nurse Practitioner 913-802-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-10-30 |