| NPI | 1396808689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L NEAL Practice Admin 865-577-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO000645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN132917) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN RN71129) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN RN115867) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000012720) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN000012666) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-08-13 |