| NPI | 1356537658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KAYE CHIPMAN Owner 731-235-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TN 7442) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2008-01-02 |