| NPI | 1275634818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CUNNINGHAM Credentialing Coordinator 615-932-7629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-08-28 |