| NPI | 1235845082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTERIA REBECCA JENKINS Owner 336-225-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-11-01 |