| NPI | 1639776446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A TUCKER-JONES Pmhnp Bc, Fnp Bc/Owner 410-299-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-05-20 |