| NPI | 1144742842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LYNETTE MYERS Nurse Practitioner 931-636-3176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 20413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 19352) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |