| NPI | 1699304667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R MOONEY Nurse Practitioner/Owner 785-564-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-03-07 |