| NPI | 1275902884 |
|---|---|
| Doing Business As | NORTHSIDE ELEMENTARY SCHOOL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BETTY J KING Acting Chief Financial Officer 423-439-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2017-02-23 |