| NPI | 1518615152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLETTE DENIENE THOMPSON CEO 859-492-9864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-08-11 |