NPI | 1215419940 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L. PRICE Owner 501-286-3270 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 363LP0808X) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 2016013962) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2024-03-02 |