| NPI | 1356111728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN RICHARDSON Nurse Practitioner/Owner 931-998-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |