| NPI | 1437815040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI LOU MCCANN A RN P/Owner 563-590-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |