| NPI | 1326549783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OXFORD Owner 479-445-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A004438) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR C5210) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-06-17 |