| NPI | 1821724881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WILSON CEO/Nurse Practitioner 252-265-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-11-01 |