| NPI | 1871461541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSY GOLDEN-JONES Nurse Practitioner 386-270-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-25 |