| NPI | 1669037099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE S HYPOLITE Owner 405-439-5849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2021-11-26 |