| NPI | 1548047970 |
|---|---|
| Doing Business As | KUNTRY NURSE TELEHEALTH |
| Entity Type | Organization |
| Authorized Contact | DAMETRA MANGUM Chief Executive Officer 601-310-9784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-11-10 |