| NPI | 1528210986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY L ROBINSON President/Owner 662-751-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R866077) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2025-07-01 |