| NPI | 1992131874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CERETHA STEPHENS Family Nurse Practitioner 850-339-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: GA 211903NP) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2014-04-24 |