| NPI | 1326910977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONTE AISHA TUGGLE FISHER Owner/Provider 434-298-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |