| NPI | 1598510984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELANA MICHELLE CONNORS Owner/Operator, Ap RN, Fnp C 270-215-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR1300X Clinic/Center, Rural Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-11-08 |