| NPI | 1497037451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON PATRICK DOWNEY Medical Director 865-992-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15988) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |