| NPI | 1760319875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA NESSI C RN P 443-704-4865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207Q00000X Family Medicine | |
| 261Q00000X Clinic/Center | |
| 261QA0900X Clinic/Center, Amputee | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-07-17 |