| NPI | 1811777527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRI BRACEY Nurse Practitioner 999-999-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |