NPI: 1972367076 · FRANKFORT, KY 40601 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 02/08/2024
| Authorized Official | JACKSON, TAMMY (OWNER) |
| NPI Enumeration Date | 02/08/2024 |
Other providers sharing the same authorized official: JACKSON, TAMMY
| Provider | City | State | Total Paid |
|---|---|---|---|
| FUN 2B FREE LLC | CHESHIRE | CT | $4.47M |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 109 | $2K |