| NPI | 1396270294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA CONRAD Family Nurse Practitioner 901-573-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13630) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |