| NPI | 1255434833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT ANTHONY JACKSON President 615-385-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |