| NPI | 1497122758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO LYNN O'GUINN-CHARLES Nurse Practitioner 501-343-9547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A03631) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |