| NPI | 1457895344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI M POOLE CEO 615-645-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 17482) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: TN 35491) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: TN 35491) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |