NPI | 1891470142 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAKEISHA JARVIS-DRAKE Nurse Practitioner 410-805-3781 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-06-15 |
Last Update Date | 2024-09-09 |