| NPI | 1912702028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA MICHELLE JONES Owner 314-279-4565 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 251F00000X Home Infusion | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-19 |