| NPI | 1831926948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LOUISE BENNETT Owner 601-720-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2026-03-05 |