| NPI | 1982447231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN MCCLUSKEY-JONES Nurse Practitioner 256-490-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-07-20 |