| NPI | 1538457080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA K RULE Owner 865-207-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 14622) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-26 |