| NPI | 1902383193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAJUANDRA CHANDLER Fnp 662-445-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901379) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |