| NPI | 1619756277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBRE MCNEIL Owner/Provider 336-285-5712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-12-24 |