| NPI | 1326400185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY BLACK President 501-413-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A001200) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |