| NPI | 1598160459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON GLENN ZAHEDI Nurse Practitioner 228-254-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R890849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R890849) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2021-11-28 |