| NPI | 1295157659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE RENEE SERCA Owner 901-877-4367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14966) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-20 |