| NPI | 1497110886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA COPLON Owner 901-512-4632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN13565) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2023-05-03 |