| NPI | 1144639154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ADCOX JENKINS Owner 865-590-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TN APN0000007617) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-07-24 |