| NPI | 1285905059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONJA SIMMONS NORMAN Psychiatric Nurse Practitioner 704-491-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003959) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2020-04-20 |