| NPI | 1720978448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DAVID JENKINS Nurse Practitioner 404-312-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WH0200X Registered Nurse, Home Health | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 163WW0000X Registered Nurse, Wound Care | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-07-04 |
| Last Update Date | 2025-07-04 |