| NPI | 1528303674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYN RENDON Owner/Family Nurse Practitioner 901-791-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 14921) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2015-07-01 |