NPI | 1275389397 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY EILEEN JEAN-LOUIS Nurse Practitioner 407-269-4935 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-04-29 |
Last Update Date | 2024-04-29 |