| NPI | 1912608571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL J JONES Nurse Practitioner/Owner 419-320-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-03-29 |