| 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 |