| NPI | 1376575035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA L HARWOOD Director, Ishn Network Management 423-302-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363AM0700X Physician Assistant Medical | |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 2086S0129X Surgery Vascular Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-04-22 |