| NPI | 1740766963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STUART BROWN Manager 225-819-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21896) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |