| NPI | 1689261422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN JAYNE STRICKLAND Owner 270-885-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2025-08-19 |