| NPI | 1154198265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN JINGWA Pmhnp Bc/Provider 210-965-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |