| NPI | 1598114977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA STALEY Owner/Nurse Practitioner 931-388-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN APN 16294) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |