| NPI | 1104679299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA JO KORSZOLOSKI Family Nurse Practitioner, Owner 901-296-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-01-22 |