NPI | 1245379197 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA ERICKSON President 901-386-6255 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000006959) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-23 |