NPI | 1356798060 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER MARIE COX Owner CEO 812-240-4446 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001901) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2016-08-02 |