| NPI | 1194484642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE SHANAE HYPOLITE Owner 405-439-5849 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |