| NPI | 1437648086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFINEY THOMPSON Nurse Practitioner 757-754-9947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024169409) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |