| NPI | 1043369143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO F. ROURKE Nurse Practitioner 901-369-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 26642) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-08-23 |