| NPI | 1053823575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY HAKIM Nurse Practitioner 615-300-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 14642) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2018-02-26 |