| NPI | 1457196099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENZIE BISHOP Ap RN 606-706-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-12-06 |