| NPI | 1861356040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI EICKMEYER Owner/ Nurse Practitioner 501-207-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |