| NPI | 1588539449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIPHANIE MICHELE JONES CEO/ Pmhnp Bc 804-933-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |