| NPI | 1184861767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JANE WESTFALL Geriatric Nurse Practitioner 870-562-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A01537) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |