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 | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-02-11 |
Last Update Date | 2023-02-11 |