NPI | 1396256426 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE CAMILLE ONEAL BREWINGTON Nurse Practitioner 336-282-1251 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 201644) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 201644) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2023-09-08 |