| NPI | 1962573170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA PLAUCHE Vice President 228-865-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 7381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2026-06-08 |