| NPI | 1356918106 |
|---|---|
| Doing Business As | SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2022-03-16 |