| NPI | 1760856694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN HARRISON Clinic Owner 662-539-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R863881) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2023-01-31 |