| NPI | 1477489987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCHE FOSHEE' PETTY Ap RN/Owner 662-649-6087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |