| NPI | 1659781847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHERIDAN Owner 423-355-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN A0706421) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TN APN0000012736) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |