| NPI | 1407646771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEKA SIMMONS PATTERSON CEO 662-614-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |