| NPI | 1710500160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIAN NICOLE WHITLEY Nurse Practioner/Owner 325-207-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-06-03 |