| NPI | 1407672595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVENNSE BARNES Pmhnp 901-675-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2024-11-23 |