| NPI | 1366979122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY A HUMPHREY Corporate Compliance Officer 865-691-9055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-04-13 |