NPI | 1033344007 |
---|---|
Doing Business As | DANIEL BOONE HIGH SCHOOL BASED CLINIC |
Entity Type | Organization |
Authorized Contact | BETTY J. KING Acting Chief Financial Officer 423-439-4414 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2009-05-20 |
Last Update Date | 2017-02-23 |