NPI | 1659094530 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LEE BRYANT Fnp Bc 443-774-8259 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-09-26 |
Last Update Date | 2024-03-04 |