| NPI | 1942960281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRON JONES Owner 937-471-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |