NPI | 1417261215 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN J PEASE CEO 901-728-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
363LP0200X Nurse Practitioner, Pediatrics | |
363LW0102X Nurse Practitioner, Women's Health | |
207Q00000X Family Medicine | |
Enumeration Date | 2010-08-04 |
Last Update Date | 2010-08-04 |