| NPI | 1497413330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSI ROBINSON Credentialing Specialist 601-248-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-04-04 |