| NPI | 1326617150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RAGSDALE Credentialing Supervisor 615-905-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |