| NPI | 1689499337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAY KIRKPATRICK Nurse Practitioner 262-903-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |