| NPI | 1336963784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE MARIE KNIGHT Ap RN/Family Nurse Practitioner 870-492-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2026-03-12 |