| NPI | 1427290774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY J NOLEN CEO 270-827-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2018-12-06 |