| NPI | 1275900011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BROOKS Family Nurse Pracitioner 865-548-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20148) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |