| NPI | 1720340847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET HUMPHREYS Nurse Practitioner 865-740-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000008246) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |