| NPI | 1659517399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A MITCHELL Nurse Practitioner 615-293-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN07275) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TN APN07275) |
| 314000000X Skilled Nursing Facility (Licence: TN APN07275) | |
| 315D00000X Hospice, Inpatient (Licence: TN APN07275) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN APN07275) | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2009-05-29 |