| NPI | 1124496575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE HARRIS Fnp/Co Owner 901-610-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18449) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2016-02-19 |