| NPI | 1679271357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSY A NWUBA Owner 571-523-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-12-09 |