| NPI | 1417404666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN NICHOLL RISSLER Nurse Practitioner/Owner 615-207-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 21660) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |