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 |