| NPI | 1801349915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M STALEY Family Nurse Practitioner 919-538-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0024173774) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |