NPI | 1104536580 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN HENSLEY Owner/Provider 931-295-3547 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
367A00000X Advanced Practice Midwife | |
Enumeration Date | 2022-11-28 |
Last Update Date | 2022-11-28 |