| NPI | 1710635412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA FELICIA ADAMS Nurse Practitioner 904-377-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2024-04-15 |