| NPI | 1275321754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KATHERYN CASE Owner 601-320-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-05-30 |