| NPI | 1770130098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVETA JARRETT Owner/Ap RN 620-931-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |