| NPI | 1902287097 |
|---|---|
| Doing Business As | CLAY COUNTY FAMILY WELLNESS |
| Doing Business As | OASIS FAMILY WELLNESS |
| Doing Business As | THE LIVINGSTON CLINIC |
| Doing Business As | UPPER CUMBERLAND CENTER FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | JOHNETTA TRAYLOR Administrator 502-596-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 208000000X Pediatrics |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 207V00000X Obstetrics & Gynecology | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2025-09-19 |