| NPI | 1356220651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY LEE GREENE Nurse Practitioner 501-563-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |