| NPI | 1275466930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ALLEN STEPHENS Owner / Nurse Practitioner 239-227-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-07-21 |