| NPI | 1720556269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA D. BAILEY Managing Director 615-344-6215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2019-11-25 |