| NPI | 1578236907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI RICHARDSON Owner, Ap RN 850-329-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2023-07-14 |