NPI | 1437427705 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER H MCCARTER Manager 731-265-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6364) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2012-04-09 |