| NPI | 1972282952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELE SALINGS Owner 270-246-0319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-10-18 |