| NPI | 1699046235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRIAN HUGHES C0 Owner 731-571-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN0013215) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN 007296) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |