| NPI | 1215236039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A PETTY President 615-773-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 11466) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |