| NPI | 1245918663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN HARB Credentialing Specialist 615-790-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-08-07 |