| NPI | 1881969772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TITSWORTH Director Physician Services 501-776-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |