| NPI | 1154143675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY RENEE HAWKINS Advanced Practice Registered Nurse 870-926-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |