| NPI | 1740859461 |
|---|---|
| Doing Business As | COMPREHENSIVE WOMEN'S CARE |
| Doing Business As | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dr Prov Enrollment & Onloading 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2022-03-18 |