| 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 |