| NPI | 1326486390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDIE LYNN LAND President 904-332-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9306281) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-07-23 |