| NPI | 1073563839 |
|---|---|
| Former Name | ALISON CAROL CHILDRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3004564) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 4564P) |
| 363LF0000X Nurse Practitioner Family (Licence: TN APN0000011683) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-08-02 |