| NPI | 1639273626 |
|---|---|
| Former Legal Business Name | TENNESSEE STATE UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | BEATRICE B EDMUNDSON Renal Transplant Nurse Practitioner 615-321-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN00008329) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |