| NPI | 1750089033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN HUMPHREY Nurse Practitioner 501-269-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |