| NPI | 1457062580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE JENKS Owner/Operator, Nurse Practitioner 423-373-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2025-04-03 |