| 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 |