NPI | 1144064221 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BALL CEO/Owner 919-435-4784 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-06-24 |
Last Update Date | 2024-07-23 |