NPI | 1144956392 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKIE MICHELLE JOHNSON Nurse Practitioner 901-208-6984 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-07-29 |
Last Update Date | 2022-07-29 |