| NPI | 1831987908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BERRY Sole Member 501-368-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-10-12 |