NPI | 1659752103 |
---|---|
Doing Business As | SHEPHARD PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ADDIE MARCHANT Owner/CEO 901-550-1486 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 363L00000X Nurse Practitioner |
163WC0400X Registered Nurse, Case Management | |
251B00000X Case Management | |
251E00000X Home Health | |
251J00000X Nursing Care (Licence: TN 1000000016409) | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2015-06-10 |
Last Update Date | 2022-08-04 |