| NPI | 1871121806 |
|---|---|
| Doing Business As | JM FAMILY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MISTY STASNEY Family Nurse Practitioner 817-727-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |