| NPI | 1639594930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA CARTER AMBEAU Family Nurse Practitioner 601-304-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: MS R863813) |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2014-02-23 |