NPI | 1689040750 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIAN MORRIS Owner/Partner 615-417-4816 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN7758) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN8030) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2015-08-12 |