| NPI | 1073403929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY PAYNE Nurse Practitioner, Ap RN 865-307-1628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |