| NPI | 1053037994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GROVE Owner 615-554-9047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |