| NPI | 1407740038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABULINE PATIENCE JAIDAH Pmhnp Bc 857-245-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |