| NPI | 1780560649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA STAPLES Nurse Practitioner 601-466-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-09-24 |