| NPI | 1760820351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEETSHA DRYER Nurse Practitioner 601-206-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 881934995) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2014-04-24 |