NPI | 1629105416 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN KAYE HEDGEMON Owner 225-925-2055 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN032514) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 06831R) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2025-09-11 |