| NPI | 1558152066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ETHEL SIZEMORE Owner 850-693-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-29 |