| NPI | 1386309185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JONES Owner 606-723-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |