NPI | 1124569918 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERETTA DOBBINS Fnp/Owner 901-305-0878 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN16133) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2017-03-14 |