| NPI | 1346519840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L JENKINS Nurse Practitioner 865-483-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14992) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2012-05-29 |