| NPI | 1629522404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T SHUFFITT President & CEO 270-282-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005814) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |