| NPI | 1437029493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI BOWYER-TIDWELL Billing Operations Director 501-398-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |