| NPI | 1346084977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CAMILLA SMITH Nurse Practitioner 662-537-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-07-16 |