NPI | 1144734070 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA L JONES Owner 614-738-2161 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9454866) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2018-06-16 |