| NPI | 1639594716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE URELL Owner 615-306-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2022-10-25 |