| NPI | 1558113357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BROWNLEE JOHNSON Owner 804-687-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |