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 |