| NPI | 1215612122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E KRESS CEO 615-393-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-05-10 |