| NPI | 1285066407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN LARGE Family Nurse Practitioner 865-453-0792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13614) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |