| NPI | 1679839492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILANI T VANHOY Owner/Nurse Practitioner 423-631-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15068) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |