| NPI | 1366797276 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | TONYA PARSON CEO 901-681-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2015-07-23 |