| NPI | 1336563204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SUE COLLINS Nurse Practitioner 423-201-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000016605) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |