| NPI | 1922342195 |
|---|---|
| Former Legal Business Name | ENCOUNTER TELEHEALTH, LLC |
| Former Legal Business Name | PROVIDER SOURCE, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN AMIS President & CEO 402-590-2548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2023-01-16 |