| NPI | 1679718100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JENKINS VP 270-827-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RS0012X Internal Medicine Sleep Medicine | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LF0000X Nurse Practitioner Family | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2025-07-23 |