| NPI | 1548816044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNEY LINDSEY WHITE Advanced Practice Registered Nurse 870-898-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-07-09 |