| NPI | 1407922495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C JERNBERG President General Partner 2147-122-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-09-11 |