| NPI | 1003286196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE HOOVER Office Manager 931-526-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000020015) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |