| NPI | 1922627223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE WALKER Owner 910-987-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-07-07 |