| NPI | 1780855437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A TITSWORTH Director, Physician Services 501-776-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2011-01-28 |