| NPI | 1780367060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL RUSHER CEO 501-812-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |