| NPI | 1093474637 |
|---|---|
| Doing Business As | SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Onboarding & Prov Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-03-16 |