| NPI | 1780123687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA FAYE MARKINS Ap RN, Owner 270-505-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007523) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |