| NPI | 1871139493 |
|---|---|
| Doing Business As | JOSEPH L. FRAZIER ELEMENTARY SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATRINA MALONE COLLINS Compliance Officer 601-786-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |