NPI | 1700246857 |
---|---|
Entity Type | Organization |
Authorized Contact | YAVETTE MONTAGUE Co Founder 901-567-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 7247) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 142811) |
363LF0000X Nurse Practitioner, Family (Licence: MS A810629) | |
Enumeration Date | 2016-03-02 |
Last Update Date | 2021-10-01 |