| NPI | 1427341478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENEA MARY TENER President 904-200-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9223838) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-09-15 |