| NPI | 1659704054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA S ABBOTT CEO/Owner 731-584-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000017728) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |