| NPI | 1174284038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE NEAL Owner, Medical Provider 904-379-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory |
| 261QB0400X Clinic/Center Birthing | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-10-02 |