| NPI | 1386968444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANNA F COPELAND Owner/Provider 615-826-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN8129) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN PA1540) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |