NPI | 1396509758 |
---|---|
Former Legal Business Name | SHARP PEDIATRICS LLC |
Entity Type | Organization |
Authorized Contact | KELLEY J SHARP Nurse Practitioner Pediatrics 615-260-5589 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-12-03 |