| NPI | 1629340799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE JOHNSON Owner 865-755-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 16163) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |