| NPI | 1790091304 |
|---|---|
| Doing Business As | OB/GYN NURSE PRACTITIONERS |
| Entity Type | Organization |
| Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-4229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2025-01-22 |