| NPI | 1184999757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY MICHAEL MCGREGOR Family Nurse Practitioner 985-795-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R890078) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2015-07-16 |