| NPI | 1487977369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W YOUNG Owner 731-661-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN7239) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |