| NPI | 1881980852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JACKSON CEO 302-275-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |