NPI | 1942955737 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA LYNN DOOLIN THOMPSON Owner, Health Care Provider 270-297-7546 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist |
Enumeration Date | 2022-02-20 |
Last Update Date | 2024-03-22 |