| NPI | 1649998568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA SMITH Psychiatric Nurse Practitioner 405-239-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-02-28 |