| NPI | 1124816624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JANE RICHMOND Owner 812-267-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-06-10 |