| NPI | 1235350901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN HAWTHORNE Vice President Finance 865-541-8181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-06-08 |