| NPI | 1649038472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN JONES Credentialing Specialist 877-317-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363LP2300X Nurse Practitioner Primary Care | |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |