| NPI | 1225847106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN HULSE Owner 620-293-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |