| NPI | 1336781657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQUITA A STARKS Owner Of Entity 901-235-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |