NPI | 1053867184 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY DAWN GREGORY Owner/Nurse Practitioner 615-735-8008 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13604) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2018-07-12 |