NPI | 1255139853 |
---|---|
Doing Business As | THE 360 NURSE PRACTITIONER |
Entity Type | Organization |
Authorized Contact | LATASHA MARTIN CEO 901-210-3376 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2025-03-07 |
Last Update Date | 2025-09-09 |