| NPI | 1508091562 |
|---|---|
| Doing Business As | DAVID CROCKETT HIGH SCHOOL BASED HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | BETTY J. KING Acting Chief Financial Officer 423-439-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2017-02-23 |