NPI | 1407482912 |
---|---|
Entity Type | Organization |
Authorized Contact | URSULA TOMIKA WHITE Chief Executive Officer 919-867-1937 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-03-16 |
Last Update Date | 2024-12-05 |