NPI | 1447134168 |
---|---|
Entity Type | Organization |
Authorized Contact | ZAKIYYAH VASHE WEATHERSPOON CEO 229-630-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
164W00000X Licensed Practical Nurse | |
208D00000X General Practice | |
Enumeration Date | 2025-08-05 |
Last Update Date | 2025-08-18 |