| NPI | 1396377800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NICHOLE DAVIS Family Nurse Practitioner 423-616-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-01-08 |