| NPI | 1285338194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE STALLINGS Nurse Practitioner/Owner 772-828-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |