NPI | 1649604489 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMALEA ELIZABETH JOHNSTON Family Nurse Practitioner/CEO 423-773-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN15811) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN166309) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2013-10-17 |