| NPI | 1023640661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA LAVETTE CONNERS Owner 901-676-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2025-08-14 |