| NPI | 1841384534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE AUBREY JONES Owner 256-732-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 19353) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |