| NPI | 1619557790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA SHAW HENDERSON President 615-585-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-09-20 |