NPI | 1275084832 |
---|---|
Entity Type | Organization |
Authorized Contact | DARLEENE BEARD Office Manager 615-329-0616 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN TN21809) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2016-10-19 |