| NPI | 1114213899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTY STUMB CEO 615-489-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 658718) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |