| NPI | 1770761728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECELIA M JOURDAN Pres/Np 601-636-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: MS R642193) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-06-12 |