| NPI | 1134988553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA NADINE ALLEN Owner 678-665-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-01-16 |