| NPI | 1184217929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA A MAY CEO/Nurse Practitioner 901-626-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2022-09-11 |