| NPI | 1821897695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A PERKINS Nurse Practitioner/Owner 270-995-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |