| NPI | 1275634818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANTI WEAVER Credentialing COO Rdinator 615-649-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-11-06 |