| NPI | 1174407696 |
|---|---|
| Doing Business As | PRIME PSYCHIATRY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KYLEE JENISE DALTON Pmhnp Bc 850-377-2769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-11-03 |