| NPI | 1265225502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON DEAN BOWMAN President 501-621-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LF0000X Nurse Practitioner, Family | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |