| NPI | 1477341469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E OXFORD Owner 479-236-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |