| NPI | 1144185885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY B CANTRELL Credentialing Specialist 423-413-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |