| NPI | 1336443555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA C JEWETT President 423-788-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14866) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |