| NPI | 1336726827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE JACKSON Nurse Practitioner/ Owner 901-361-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 171100000X Acupuncturist |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |