| NPI | 1699183756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MOORE President 615-896-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7533) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 7885) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |