| NPI | 1922778786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA REEVES Owner / Nurse Practitioner 802-490-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |