| NPI | 1508511148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LYNN DOOLIN-THOMPSON Administrator/Owner 270-215-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-02-12 |
| Last Update Date | 2024-03-22 |