| NPI | 1922411644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL CULLEN Billing Manager 501-223-9948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: AR S001115) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |