NPI | 1588935712 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL M ALLEN Owner 850-225-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1692262) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 1692262) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-11-18 |