| NPI | 1710529128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY LYNN BROWN Owner/ Mid Level Provider 252-209-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |