| NPI | 1558718304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTPHER B POWE Chief Operating Officer 601-859-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |