| NPI | 1801764279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERNEY ROWE Member/Pediatric Nurse Practitioner 225-933-9128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |