NPI | 1609586551 |
---|---|
Entity Type | Organization |
Authorized Contact | JERIKA TERESE PERRY Psychiatric Nurse Practitioner 813-669-0469 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-12-01 |
Last Update Date | 2024-01-17 |