Organization
SUMMIT RELIEF JH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ROSS QUINLAN FNP (OWNER)
(330) 806-4427
Entity
Organization
Contact information
Practice address
320 E BROADWAY AVE UNIT 1A, JACKSON, WY 83001-8636
(307) 289-2525
Mailing address
PO BOX 6580, JACKSON, WY 83002-6580
(307) 289-2525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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