| NPI | 1366847006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ALICE GOTT Msn, Fnp/Owner 865-312-9586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13526) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2025-01-28 |