| NPI | 1760274138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE MARY JEFFERS Owner/Psychiatric Nurse Practitione 737-231-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-06-02 |